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Question:
Children up to the age of 26 who do not have access to other health insurance can be considered dependents of the employee.
Comments
Shaniac20
3 years ago
I recommend!
Mingy6
I like this App a lot. I got a few apps to prepare for PTCE but this is the best one so far! It has tests and practice questions with explanations.
Bfarley14
Awesome app
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The codes used to bill different medical conditions are called ____.
____
ICD codes
What is the markup for a drug that costs $9.99, has a dispensing cost of $2.75, and retails for $13.99?
$4.00
The process by which a health insurance company determines if it should be the primary or secondary payer of medical claims for a patient who has coverage from more than one health insurance policy:
Coordination of Benefits
Which Medicare program will reimburse an out- patient pharmacy for a patient’s prescription?
Medicare Part D
Which of the following provides the Medicare prescription drug benefit?
A Health Maintenance Organization (HMO) requires a patient to use ____ and either recommends or requires the use of ____.
in-network pharmacies; generic drugs
Which of the following pieces of information is not transmitted by online adjudication?
Pharmacy technician’s name
The term used to describe the services provided by a pharmacy to patients in an assisted living facility or a nursing home is called ____.
long-term care
When do pharmacies not use ICD codes?
during drug recalls
Which of the statements regarding the prescription drug benefits is true?
Drug benefits can include tiered copays and exclude certain drugs.
What three components are needed to bill a pharmacy claim?
Member ID number, BIN, and PCN
A list of medications available for use within a health care system is called a:
Formulary
Who is contracted by insurance companies to process the claims for the insurance company's members?
the PBM
Which of the following groups does Medicaid not cover?
Single working individuals with above-average incomes
Comments
Shaniac20
3 years ago
I recommend!
Mingy6
3 years ago
I like this App a lot. I got a few apps to prepare for PTCE but this is the best one so far! It has tests and practice questions with explanations.
Bfarley14
3 years ago
Awesome app